NPIMap

Organization Active NPI

Davis County Hospital

Doing business as Davis County Medical Associates

  • Rural Health Clinic/Center
  • Bloomfield, IA
National Provider Identifier
1821413667
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DAVIS COUNTY HOSPITAL
Doing business as
Davis County Medical Associates
Practice address
509 N Madison St
Ste 100
Bloomfield, IA 52537-1271
Phone
(641) 664-3832
Fax
(641) 664-1669
NPI assigned
Mar 4, 2014
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVIS COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kendra J Warning
Title
Cfo
Phone
(641) 664-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

509 N Madison St
Ste 100
Bloomfield, IA 52537-1271

Mailing address

509 N Madison St
Bloomfield, IA 52537-1271
Phone (641) 664-2145

Other names 1

  • Davis County Medical Associates Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DCMA@davis.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141126001758 IA Part A Provider - Rural Health Clinic 3971493040 Practice locations: Bloomfield, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821413667. Details of each certification follow.

Rural health clinic certification: CCN 168566

Legal name
DAVIS COUNTY HOSPITAL
Doing business as
DAVIS COUNTY MEDICAL ASSOCIATES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 27, 2015
Last certification
Feb 4, 2021
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
509 N Madison St
Ste 100
Bloomfield, IA 52537-1271
Related CCNs
161327

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2075847Davis County Medical Associates509 N Madison, Suite 100, Bloomfield, IA 52537Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Davis County Hosp3 organizations share this tax ID, including this one
Part of
Davis County Hosp

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 S Pine St
Bloomfield, IA 52537
Phone (641) 664-3629

505 N Madison St
Ste 100
Bloomfield, IA 52537
Phone (641) 664-3851

509 N Madison St
Ste 100
Bloomfield, IA 52537
Phone (641) 664-3832

Interoperability endpoints

  • Direct secure messaging: dcma@davis.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cassie Northup Individual W-2 Managing EmployeeClinic Nurse Manager Sep 16, 2024
Veronica R. Fuhs Individual Contracted Managing EmployeeChief Executive Officer Oct 15, 2018
Corporate OfficerChief Executive Officer Oct 15, 2018
Nathan Chaney Individual Corporate DirectorTrustee Jun 16, 2025
Bailey James Westfall Individual Corporate DirectorTrustee Jan 1, 2023
Mercy Health Network Inc Organization, Clive, IA Corporation, Non-profit Operational/Managerial Control Nov 1, 2012 100%
Nolan Dean Eakins Individual Corporate DirectorTrustee Jan 1, 2023
Heath Wayne Greiner Individual Corporate DirectorTrustee Jan 1, 2021
Lisa Warren Individual Corporate OfficerChief Financial Officer Jan 1, 2023
W-2 Managing EmployeeChief Financial Officer Jan 1, 2023
Robert D Floyd Individual W-2 Managing EmployeeMedical Director Oct 5, 2009
Operational/Managerial ControlMedical Director Oct 5, 2009
Lynn Fellinger Individual Corporate DirectorTrustee Jan 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Davis County HospitalBloomfield, IA, CCN 16Z327 Hospital Operational/Managerial Control Oct 1, 2001
Davis County HospitalBloomfield, IA, CCN 161327 Hospital Operational/Managerial Control Oct 1, 2001

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 98

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 98

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 71

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1821413667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N MADISON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371271",
            "telephone_number": "641-664-2145",
            "fax_number": "641-664-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N MADISON ST",
            "address_2": "STE 100",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371271",
            "telephone_number": "641-664-3832",
            "fax_number": "641-664-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVIS COUNTY HOSPITAL",
        "enumeration_date": "2014-03-04",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "WARNING",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-664-2145",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DCMA@davis.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Davis County Hospital & Clinics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "509 N Madison St",
            "address_2": "Ste 100",
            "city": "Bloomfield",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525371271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Davis County Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davis County Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, IA

Sources for this page

Verify at the official NPI Registry.